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基于精神疾病原因的终止妊娠(作者译)

[Termination of pregnancy on psychiatric grounds (author's transl)].

作者信息

Böhme K, Marr G

出版信息

Dtsch Med Wochenschr. 1975 Apr 18;100(16):865-72. doi: 10.1055/s-0028-1106307.

Abstract

303 psychiatric opinions were given between 1947 and 1969 regarding the termination of pregnancy. 45,2 per cent of the applications were supported, 53,4 per cent were rejected. In 10 per cent of the cases neurological disorders were present. 79 per cent of the women had psychiatric disorders among which reactive depressions had a definite majority of 89 per cent. Endogenous psychoses only represented a marginal group. Among the reactive depressive group young unmarried women in their first pregnancy with environmental conflicts and an increased readiness to express suicidal tendencies could be separated from a second group of older married women with one or more children, with fear of the future resulting from the feeling of an imminent in ability to cope, and restraint in the formulation of suicidal thoughts. The frequency of preceding suicidal attempts and the percentage of abnormal personalities were equally high in both groups. The investigated group must clearly be considered to a suicide-endangered high risk group. If abnormal personality traits, preceding suicide attempts, family and social conflicts with existing suicidal tendencies, and a reactivated state of depression occur together a reactive depression must also be considered an important criterium for a supportive attitude.

摘要

1947年至1969年间,针对终止妊娠给出了303份精神病学意见。45.2%的申请获得支持,53.4%被拒绝。10%的病例存在神经疾病。79%的女性患有精神疾病,其中反应性抑郁症占绝对多数,为89%。内源性精神病仅占少数。在反应性抑郁组中,首次怀孕的年轻未婚女性存在环境冲突且更易表现出自杀倾向,这可与另一组有一个或多个孩子的年长已婚女性区分开来,后者因感到即将无力应对而恐惧未来,且在表达自杀想法时有所克制。两组中先前自杀未遂的频率和异常人格的百分比同样高。被调查群体显然必须被视为有自杀危险的高危群体。如果异常人格特质、先前的自杀未遂、家庭和社会冲突以及现有的自杀倾向和抑郁复发状态同时出现,那么反应性抑郁症也必须被视为持支持态度的一个重要标准。

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